Stillwater Family Therapy Group, Inc. | |
4727 W 164th St Lawndale CA 90260-2824 | |
(310) 378-2520 | |
Not Available |
Full Name | Stillwater Family Therapy Group, Inc. |
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Speciality | Marriage & Family Therapist |
Location | 4727 W 164th St, Lawndale, California |
Authorized Official Name and Position | Virginia Green (CEO) |
Authorized Official Contact | 3103782520 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Stillwater Family Therapy Group, Inc. 4727 W 164th St Lawndale CA 90260-2824 Ph: (310) 378-2520 | Stillwater Family Therapy Group, Inc. 4727 W 164th St Lawndale CA 90260-2824 Ph: (310) 378-2520 |
NPI Number | 1366102337 |
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Provider Enumeration Date | 12/17/2021 |
Last Update Date | 12/17/2021 |
Certification Date | 12/17/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366102337 | NPI | - | NPPES |
11702210 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
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106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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